Mountain States Health Alliance
NPI 1053496901ActiveOrganization· Home Infusion· Johnson City, TN
Home Infusion in Johnson City, Tennessee, registered in NPPES in October 2006. The authorized official on file is Mary Lynn Krutak, Evp/Cfo.
Overview
| NPI | 1053496901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2006 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Home Infusion Primary | 251F00000X | 0000000434 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|